An unusual origin of the right subclavian artery – arteria lusoria

• Authors: Agnieszka Mocarska , Miroslaw Szylejko , Elzbieta Staroslawska , Franciszek Burdan
• Languages of publication: EN

Abstracts

EN

The aortic arch usually gives off three major arterial branches: the brachiocephalic trunk, the left common carotid artery and the left subclavian artery. The most frequently occurring developmental variations of arterial trunks origins are a joined brachiocephalic and left common carotid artery origin, the left vertebral artery branching from the aortic arch, a double aortic arch, and a change of sequence of branching arteries. The current report presents the rare asymptomatic situation of the right subclavian artery originating as the last individual branching from the aortic arch. This abnormality was accidentally discovered in a computed tomography examination of a 69-year old male patient. The examination showed that the artery went towards the neck posteriorly from the trachea. The anatomical anomaly was interpreted as being an arteria lusoria.

Keywords

EN

aortic arch; subclavian artery; arteria lusoria; angioCT; anatomical variation

• Publisher: De Gruyter Open
• Journal: Current Issues in Pharmacy and Medical Sciences
• Year: 2014
• Volume: 27
• Issue: 4
• Pages: 234-236

Dates

published

1 - 12 - 2014

accepted

10 - 12 - 2014

online

3 - 3 - 2015

received

8 - 12 - 2014

Contributors

author

Agnieszka Mocarska

• St. John’s Cancer Centre; Lublin, Poland

author

Miroslaw Szylejko

• Regional Railway Hospital in Lublin, Poland

author

Elzbieta Staroslawska

• St. John’s Cancer Centre; Lublin, Poland

author

Franciszek Burdan

• St. John’s Cancer Centre; Lublin, Poland
• Department of Anatomy, Medical University of Lublin, Lublin, Poland

References

• 1. Azakie A. et al.: Common brachiocephalic trunk: strategies for revascularisation. Ann. Thora. Surg., 67, 657-660, 1999.
• 2. Bennett A.L. et al.: Dysfagia lusoria. A late onset presentation. World J. Gastroenterol., 19, 2433-2436, 2013 .
• 3. Bochenek A., Reicher M.: Zmienność położenia i przebiegu łuku aorty. W: Anatomia człowieka. T. III. PZWL, Warszawa, 108-170, 1993.
• 4. Burdan F. et al: Incidence of spinal perineurial (Tarlov) cysts among East-European patients. PloS One. 8, e71514, 2013.
• 5. Derbel B. et al.: Aberrant right subclavian artery or arteria lusoria: a rare cause of dyspnea in children. Ann. Vasc. Surg., 26, 1-4, 2012.[Crossref][WoS]
• 6. Dziekiewicz M. et al.: Variations in the anatomy of the branches of an aortic arch-two cases. Acta Angiol., 12, 80-84, 2006.
• 7. Ergun E. et al.: Anatomicalvariations in branching pattern of arcus aorta: 64-slice CTA appearance. Surg. Radiol. Anat., 35, 503-509, 2013.[Crossref]
• 8. Głowacki J. et al.: Technika obrazowania. Współistnienie koarktacji aorty z anomaliami tętnic łuku aorty na podstawie badań naczyniowych w 64-warstwowej tomografii komputerowej. Kardiochir Torakochir. Pol., 5, 328-331, 2008.
• 9. Gnanapandithan K., et al.: Intermittent esophageal dysphagia: an intriguing diagnosis. Dysphagia lusoria. Gastroenterology., 146, 3-4, 2014.
• 10. Goray V.B. et al.: Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as branches of the aortic arch distal to left subclavian artery. Am. J. Neuroradiol., 26, 93-95, 2005.
• 11. Jayanthi V. et al.: Anomalous origin of the left vertebral artery. Folia Morphol., 69, 258-260, 2010.[WoS]
• 12. Kau T. et al.: Aortic development and anomalies. Semin. Intervent. Radiol., 24, 141-152, 2007.[Crossref]
• 13. Kopp R. et al.: Surgical and endovascular treatment of symptomatic aberrant right subclavian artery (arteria lusoria). Vascular., 15, 84-91, 2007.[Crossref][WoS]
• 14. Lamers L.J. et al.: The effect of common origin of the carotid arteries in neurologic outcome after neonatal ECMO. J. Pediatr. Surg., 39, 532-536, 2004.
• 15. Lemke A.J.et al.: Anomalous origin of the right vertebral artery: review of the literature and case report of right vertebral artery: origin distal to the left subclavian artery. Am. J. Neuroradiol., 20, 1318-1321, 1999.
• 16. Lesko M. et al.: One-step supraclavicular approach to the treatment of dysfagia lusoria. J. Card. Surg., 29, 519-522, 2014.[Crossref]
• 17. Manyama M. et al.: A variant branching pattern of the aortic arch: a case report. J. Card. Surg., 6, 29-31, 2011.
• 18. Mukkannavar S.B.et al.: Aberrant right vertebral artery from descending thoracic aorta. Ann. Thorac. Surg., 96, 1074-1076, 2013.[WoS][Crossref]
• 19. Nastis K.I.et al.: Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review. Surg.Radiol. Anat.,31, 319-323, 2009.[WoS]
• 20. Okumuş M. et al.: A very rare cause of esophageal obstruction in a hypoxemic patient. Turk. J. Gastroenterol., 25, 433-434, 2014.[Crossref]
• 21. Saeed G. et al.: Arteria lusoria aneurysm with truncus bicaroticus. Tex. Heart Inst. J., 37, 602-607, 2010.
• 22. Shiva Kumar G.L. et al.: Anomalous branching pattern of the aortic arch and its clinical applications. Singapore Med. J ., 51, 182-183, 2010.
• 23. Stojanovska J. et al.: Embriology and imaging review of aortic arch anomalies. J. Thorac. Imaging. 27, 73-84, 2012.
• 24. Suresh R. et al.: Variations in the branching pattern of the aortic arch in three Trinidadians. Vest Indian Med. J.,55, 351-353, 2006.
• 25. Türkvatan A. et al.: Congenital anomalies of the aortic arch: Evaluation with the use of multidetector computer tomography. Korean J. Radiol., 10, 176-184, 2009.

Identifiers

DOI

10.1515/cipms-2015-0022